Robert Clint Black, RN

NPI #1538434097 in Omro, Wisconsin

Provider Information

NPI Number
1538434097
Entity Type
Individual
Name
Robert Clint Black, RN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse
Credential
RN
Enumeration Date
Mar 16, 2012
Last Updated
Mar 16, 2012

Practice Location

Address
1169 BRODERICK RD
City
Omro
ZIP Code
54963-1091
Phone
(240) 603-3648

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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